Preoperative Visit

Some surgeries are scheduled around 3 -12 months from the time of the initial consultation, and much can happen during this time period. It is therefore important that we review your medical history and reexamine you within a reasonable time period before your surgery. Any changes in your medical or surgical history (including new medications, allergies, UTIs, new surgeries, and so forth) need to be reported to us. We want surgery to be as successful as possible, and knowing your updated health history is important in minimizing risk. In order for everyone to be up to date on your current health status, we rely on your providers, and more importantly, you. 

Other preoperative considerations:

  • Smoking and any inhalational activity (vaping, marijuana, nicotine free cigarettes, cigars, second hand smoke, etc) should be stopped and avoided at least 3 months prior to surgery. Nicotine should also be avoided, including patches, gum, and chewing tobacco.

  • Hair removal of the desired area should be completed.

  • Safely stay and/or obtain a body mass index (BMI) that is close to ideal. Eat healthy and exercise regular. Crash diets and exercise can be unsafe and should be avoided.

  • If chronic medical conditions exist, good control of these and obtaining medical clearance letters from your primary care or managing doctor may be required.

  • Fertility preservation needs to be addressed prior to surgery as most of the surgeries involve permanent sterilization. Please consult a fertility specialist.

During your preop visit, we:

  • Confirm compliance with postop safety policies.

  • Review surgery risks and benefits and consents.

  • Provide instructions/prescriptions in preparation for surgery (Examples: bowel prep, preop antibiotics, pain meds).

  • Review lab results or order more updated labs if needed.

  • Collect your disability forms and/or time off work forms.

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Office phone: 415-395-9895

Fax: 415-395-9897

After hours: 855-638-7424


45 Castro St, Suite 324

San Francisco, CA  94114


Mon - Fri: 830am - 4:30pm

Closed for lunch: 12pm - 1pm

Gender Realignment Surgery (GRS)

Gender Confirmation Surgery (GCS)

Transgender Surgery San Francisco 

SRS San Francisco

Peritoneal Pullthrough


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